Factors associated with consistent condom use: a cross-sectional survey of two Nigerian universities

doi:10.1186/s12889-019-7543-1

. 2019 Sep 2;19(1):1207.

doi: 10.1186/s12889-019-7543-1.

Factors associated with consistent condom use: a cross-sectional survey of two Nigerian universities

Anthony Idowu Ajayi¹, Kafayat Olanike Ismail², Wilson Akpan³

Affiliations

¹ Population Dynamics and Reproductive Health Unit, African Population and Health Research Center, APHRC Campus, Off Kirawa Road, Nairobi, Kenya. ajayianthony@gmail.com.
² Department of Sociology, Faculty of the Social Sciences, University of Ilorin, Ilorin, Nigeria.
³ Research and Innovation, Walter Sisulu University, Nelson Mandela Drive, Mthatha, South Africa.

PMID: 31477068
PMCID: PMC6719351
DOI: 10.1186/s12889-019-7543-1

Factors associated with consistent condom use: a cross-sectional survey of two Nigerian universities

Anthony Idowu Ajayi et al. BMC Public Health. 2019.

. 2019 Sep 2;19(1):1207.

doi: 10.1186/s12889-019-7543-1.

Authors

Anthony Idowu Ajayi¹, Kafayat Olanike Ismail², Wilson Akpan³

Affiliations

¹ Population Dynamics and Reproductive Health Unit, African Population and Health Research Center, APHRC Campus, Off Kirawa Road, Nairobi, Kenya. ajayianthony@gmail.com.
² Department of Sociology, Faculty of the Social Sciences, University of Ilorin, Ilorin, Nigeria.
³ Research and Innovation, Walter Sisulu University, Nelson Mandela Drive, Mthatha, South Africa.

PMID: 31477068
PMCID: PMC6719351
DOI: 10.1186/s12889-019-7543-1

Abstract

Background: Consistent condom use is central to the prevention of transmission of human immunodeficiency virus (HIV) and other sexually transmitted diseases (STDs), especially among young adults. This study drew from a cross-sectional survey of two Nigerian universities to determine the level of consistent condom use, explored the determinants of condom use consistency and reasons for inconsistent condom use.

Methods: We adopted a descriptive cross-sectional design, which involves the recruitment of 800 male and female students using stratified random sampling. Adjusted and unadjusted logistic regression models were used to examine the factors associated with consistent condom use among a final sample of 498 students who engaged in sex in the last year preceding the study.

Results: Only 38.6% of sexually active participants (n = 498) used condoms consistently in the previous year. High condom self-efficacy score (AOR: 2.40; 95% CI: 1.58-3.64), discussion of HIV/STIs with sexual partner (AOR: 1.91; 95%CI: 1.29-2.83), knowing partner's HIV status (AOR: 1.48; 95% CI: 1.02-2.16), being students of university located in a high HIV prevalence area (AOR: 2.86; 95% CI: 1.92-4.28) and engaging in sex with only steady partner (AOR: 1.74; 95% CI: 1.17-2.60) were associated with a higher odds of consistent condom use. Trust, unavailability of condoms, dislike of condoms and a perception that condoms reduced sexual pleasure were the main reasons for inconsistent use of condoms.

Conclusion: The study found a low level of consistent condom use among study participants. Counselling young adults in Nigeria on condom self-efficacy, providing condoms on campuses and encouraging the discussion of sexually transmitted infections with sexual partners are central to improving the level of consistent condom use among Nigerian university students.

Keywords: Alcohol use; Condoms; Consistent condom use; Drug use; HIV; Nigeria; Self-efficacy; University students.

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Conflict of interest statement

The first author is an associate editor with BMC Public Health. Other authors declare that they have no competing interests.

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References

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1. Nielson CM, Harris RB, Nyitray AG, Dunne EF, Stone KM, Giuliano AR. Consistent condom use is associated with lower prevalence of human papillomavirus infection in men. J Infect Dis. 2010;202(3):445–451. doi: 10.1086/653708. - DOI - PubMed
1. Ajayi AI, Nwokocha EE, Akpan W, Adeniyi OV, Goon DT. “It’s sweet without condom”: Understanding Risky Sexual Behaviour Among Nigerian Female University Students. Online J Health Allied Scs. 2017;16(4):9.
1. Brown JL, Vanable PA. Alcohol use, partner type, and risky sexual behavior among college students: findings from an event-level study. Addict Behav. 2007;32(12):2940–2952. doi: 10.1016/j.addbeh.2007.06.011. - DOI - PMC - PubMed
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[1] Ahmed S, Lutalo T, Wawer M, Serwadda D, Sewankambo NK, Nalugoda F, Makumbi F, Wabwire-Mangen F, Kiwanuka N, Kigozi G. HIV incidence and sexually transmitted disease prevalence associated with condom use: a population study in Rakai, Uganda. Aids. 2001;15(16):2171–2179. doi: 10.1097/00002030-200111090-00013. - DOI - PubMed

[2] Ahmed S, Lutalo T, Wawer M, Serwadda D, Sewankambo NK, Nalugoda F, Makumbi F, Wabwire-Mangen F, Kiwanuka N, Kigozi G. HIV incidence and sexually transmitted disease prevalence associated with condom use: a population study in Rakai, Uganda. Aids. 2001;15(16):2171–2179. doi: 10.1097/00002030-200111090-00013. - DOI - PubMed

[3] Nielson CM, Harris RB, Nyitray AG, Dunne EF, Stone KM, Giuliano AR. Consistent condom use is associated with lower prevalence of human papillomavirus infection in men. J Infect Dis. 2010;202(3):445–451. doi: 10.1086/653708. - DOI - PubMed

[4] Nielson CM, Harris RB, Nyitray AG, Dunne EF, Stone KM, Giuliano AR. Consistent condom use is associated with lower prevalence of human papillomavirus infection in men. J Infect Dis. 2010;202(3):445–451. doi: 10.1086/653708. - DOI - PubMed

[5] Ajayi AI, Nwokocha EE, Akpan W, Adeniyi OV, Goon DT. “It’s sweet without condom”: Understanding Risky Sexual Behaviour Among Nigerian Female University Students. Online J Health Allied Scs. 2017;16(4):9.

[6] Ajayi AI, Nwokocha EE, Akpan W, Adeniyi OV, Goon DT. “It’s sweet without condom”: Understanding Risky Sexual Behaviour Among Nigerian Female University Students. Online J Health Allied Scs. 2017;16(4):9.

[7] Brown JL, Vanable PA. Alcohol use, partner type, and risky sexual behavior among college students: findings from an event-level study. Addict Behav. 2007;32(12):2940–2952. doi: 10.1016/j.addbeh.2007.06.011. - DOI - PMC - PubMed

[8] Brown JL, Vanable PA. Alcohol use, partner type, and risky sexual behavior among college students: findings from an event-level study. Addict Behav. 2007;32(12):2940–2952. doi: 10.1016/j.addbeh.2007.06.011. - DOI - PMC - PubMed

[9] Imaledo JA, Peter-Kio OB, Asuquo EO. Pattern of risky sexual behavior and associated factors among undergraduate students of the University of Port Harcourt, Rivers State, Nigeria. Pan Afr Med J. 2012;12(1):97. - PMC - PubMed

[10] Imaledo JA, Peter-Kio OB, Asuquo EO. Pattern of risky sexual behavior and associated factors among undergraduate students of the University of Port Harcourt, Rivers State, Nigeria. Pan Afr Med J. 2012;12(1):97. - PMC - PubMed

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Factors associated with consistent condom use: a cross-sectional survey of two Nigerian universities

Affiliations

Factors associated with consistent condom use: a cross-sectional survey of two Nigerian universities

Authors

Affiliations

Abstract

Conflict of interest statement

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